Provider Demographics
NPI:1790581924
Name:NAKIWALA-MCCAIN, YUDAYA
Entity type:Individual
Prefix:
First Name:YUDAYA
Middle Name:
Last Name:NAKIWALA-MCCAIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 PARLMONT PARK
Mailing Address - Street 2:
Mailing Address - City:N BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2753
Mailing Address - Country:US
Mailing Address - Phone:978-608-6055
Mailing Address - Fax:
Practice Address - Street 1:176 PARLMONT PARK
Practice Address - Street 2:
Practice Address - City:N BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2753
Practice Address - Country:US
Practice Address - Phone:978-608-6055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN102517164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse